NOVA INTEGRATIVE HEALTH NPI 1912516303

NPI Information

NPI: 1912516303
Provider Name: NOVA INTEGRATIVE HEALTH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
229 E LOGAN ST
CALDWELL, ID
ZIP 83605
Phone: (208) 504-5959
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NOVA INTEGRATIVE HEALTH is a psychiatric/mental health nurse practitioner in Caldwell, ID. NOVA INTEGRATIVE HEALTH NPI is 1912516303. The provider is registered as an organization entity type.

The provider's business location address is:

229 E LOGAN ST
CALDWELL, ID
ZIP 83605-835
Phone: (208) 504-5959

The provider's authorized official is Johary Rodriguez .
The authorized official title is Nurse Practitioner and has the following contact phone number (208) 504-5959.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 7/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QH0100X	Clinic/Center	Health Service	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	261QP2300X	Clinic/Center	Primary Care	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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